Each month, Hospital Groups publish a Hospital Patient Safety Indicator Report for each of their acute hospitals. The report details the hospitals performance against some national and international ways of measuring (metrics) patient safety in acute hospital services.
The objective in publishing these reports is to provide public assurance that each of the hospitals delivers services in an environment that promotes open disclosure and patient safety.
The data generated will also inform management and assist them in carrying out their role in promoting patient safety and quality improvement. It is intended that these metrics will also assist in an early warning mechanism for issues that require action at local hospital or may require escalation to Hospital Group level.
The Hospital Patient Safety Indicator Report contains information on 11 metrics under the headings - health care associated infections, surgery, access, waiting times, colonoscopy/gastrointestinal service and incidents and events.
While all acute hospitals collect a large range of information and data on patient safety, on an ongoing basis, these 11 metrics have been selected on the basis that they are clinically robust, relevant and underpinned by standardised definitions. It is expected that over time additional metrics will be added to the report.
It is not intended that these reports are used to make comparisons between hospitals or hospital groups. Hospital activity will vary from hospital to hospital depending on the size and type of hospital, the services provided, clinical activity and the complexity of the care the hospital provides to patients.
The publication of the Hospital Patient Safety Indicator Reports fulfils key recommendations in relation to:
- HSE Midland Regional Hospital, Portlaoise Perinatal Deaths, Report to the Minister for Health from Dr. Tony Holohan, Chief Medical Officer, 24 February 2014
- HIQA Report of the Investigation into the Safety, Quality and Standards of Services Provided by the HSE to patients in the Midland Regional Hospital, Portlaoise, 8 May 2015
Hospital Patient Safety Indicators Monthly Reports
- Read January 2017 Hospital Patient Safety Indicators Reports
- Read February 2017 Hospital Patient Safety Indicators Reports
- Read March 2017 Hospital Patient Safety Indicators Reports
- Read April 2017 Hospital Patient Safety Indicators Reports
- Read May 2017 Hospital Patient Safety Indicators Reports
- Read June 2017 Hospital Patient Safety Indicators Reports
- Read July 2017 Hospital Patient Safety Indicators Reports
Explanatory notes on Hospital Patient Safety Indicator Report metrics:
- Metrics 1-3 measure infection control and staff hand hygiene practices in acute hospitals. These metrics are applied internationally as key indicators of infection control compliance. The targets for metrics 1 and 2 are international best practice targets. The target for metric 3 is an agreed target in the HSE’s National Service Plan.
- Metrics 4-8 measure access to and waiting times for services including emergency care, trauma care (for hip fractures), urgent endoscopy procedures and access to outpatient services. These metrics are based on national indicators and nationally agreed targets as set out in the HSE’s National Service Plan
- Metric 9 and 10 measure clinical incidents reported to the National Incident Management System. A clinical incident is an event or circumstance which could have, or did lead to unintended and/ or unnecessary harm. Incidents include adverse events which result in harm; near misses which could have resulted in harm, but did not cause harm, either by chance or timely intervention. These metrics are indicators of patient safety in hospitals that are applied internationally.
- Metric 11 is an indicator of medication safety in acute hospitals. This refers to any preventable event that may cause or lead to inappropriate use or patient harm while the medication is in the control of the healthcare professional or patient (WHO, 2009). The number of errors reported to the National Incident Management System is based on an internationally accepted metric applied in other countries.
- The data reported includes maternity data where appropriate.
It is not intended that this report be used to compare performance of hospitals or hospital groups. Different hospitals specialise in treating patients with different and sometimes much more complex care needs, making comparisons between hospitals ineffective.